Healthcare Provider Details

I. General information

NPI: 1962374389
Provider Name (Legal Business Name): ADVANCED MEDICAL IMAGING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TRANS AM PLAZA DR STE 16
OAKBROOK TERRACE IL
60181-4364
US

IV. Provider business mailing address

1 TRANS AM PLAZA DR STE 16
OAKBROOK TERRACE IL
60181-4364
US

V. Phone/Fax

Practice location:
  • Phone: 630-440-7786
  • Fax: 312-807-3550
Mailing address:
  • Phone: 630-440-7786
  • Fax: 312-807-3550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2085D0003X
TaxonomyDiagnostic Neuroimaging (Radiology) Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MOQUEET A SYED
Title or Position: MEMBER MANAGER
Credential:
Phone: 630-440-7786